Abstract

Intestinal intussusception is a common condition in children but it is rare in adults. As in the adult population a lead-point disease is present 92% of the time, hence surgical resection is considered mandatory [1]. However, the reported frequency of a lead-point disease was generally based on surgical series. Recent radiologic series showed, with increasing frequency, the possibility of self-limiting idiopathic intussusceptions; therefore, resection without any suspicion of malignancy could be questionable especially in young patients with Crohn’s disease (CD) [2–4]. In patients with CD, intussusception is unusual and rare, and all the reported cases occurred in the patients with active disease, those submitted to surgery or in association with giant pseudopolyp [5–7]. Here we report the occurrence of a submucosal chronic hematoma mimicking a polyp as a primary cause of colonic obstruction in a patient with CD, and we discuss the possible etiology and the management of this rare combination. Case report

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